Cornwall, Kenneth David
Cornwall, Kenneth David is an individual health care provider with primary practice located at 3240 S Cobb Dr Se Ste 1000 , Smyrna GA 30080-4112. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cornwall, Kenneth David can be contacted via phone (770) 701-3051.Contact Information
Primary practice address
3240 S Cobb Dr Se Ste 1000
Smyrna GA 30080-4112
Phone: (770) 701-3051
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT003524 | Georgia |
Profile Details
| NPI number | 1629851886 |
|---|---|
| LBN Legal business name | Cornwall, Kenneth David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2023 |
| Last updated | Aug 14th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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